Organization
PRIMECARE ACQUISITION INC
Active
Parent organization
MEDVANTX, INC,
Other names
PrimeCare Urgent Care Centers Twin Lakes
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC,
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
1890 LPGA BLVD, SUITE 130, DAYTONA BEACH, FL 32117-7130
(386) 274-2212
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME67318
FL
Other
Enumeration date
12/04/2013
Last updated
05/12/2014
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